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Home My WebLink AboutGRD99-0003 - GRD Permit / Conditions - 10/3/2001 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f3 F1 A 17 1 N 0 Pt---- R M I i FOR INSPECTIONS CALL 427--9670 GRD99-0003 PARCEL : 1 2 32941 90200 i'LA f : D I V : BLK � LOT ! JOB ADDRESS : 131 NE ROY GOAD RD BE.LFAIR OWNER : ROSE GOVERNALE PERMIT 'f1ON CONTRACTOR : r4ULL 81 V010 BY EXPIRA ENGINEER : II \(,_,k1 scar:%an.xarasrmzs:...r-mzs:.,�.- ifc. m_•u-.IT- GRADE?FILL? . . . . . . . . :Y TYPE AMOUNT BY DATE F. E ! PCLIT7 . . . . . . .. . . .7 �.� . _ n z. . . . . . . . :7 PLAN $ 22 .50 KS 03/291 99 49518 AREA GRADED . . : O : :AC PRMT $ 43 .50 KS 0:3/29/99 BELFAIR VOLUME . . . . . . . : 300 :cy RLC $ 44 .00 KS 03/29/99 SELFAIR TOTAL - 110 .00 PROJECT DE5CRIPTION :GRADINC PROJECT LOCATION :Hwy 3 to Clifton Ln to Soy Bond Rd THIS PERMIT BECOMES NULL. AND VOID IF WORD, OR CONSTROCT I ON AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION 00 WORK, IS SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED . EVIDENCE OF CONT I MOAT I ON OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD . 1 . OWNER OR AGENT DATE GRP—PRMT, rev, #4111112 COMPLIANCE TO ATTACHED CONDITIONS IS R1 OU I RED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas piping date b Foundation Walls date by Set Up date by INSULATION date _ by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by r MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F F1 M I -r C C:)N 0 1 'T I C.) N "-i Case No . , GRD99-0003 For : ROSE GOVERNALE Page : I 1 ) Approved per dimensions on submttted site plan and topographic c;rp,g,s-sect Ion . X-L Temporary Erosion oontrol measures ( ,si It fencing and straw) must. be implemented to prevent water quality degradation of adjacent waters or wetlands . Replanting of exposed are��,* ith grass and ground cover plants shall be done when final grade Is comp leted . X ! � V�--— f - - 3 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITES mus-r HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons hate by Gas Piping date b Foundation Walls date by Set UP date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b _ date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I( I! f MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 x 4 ) ALL CLEARING, CUTTINei, GRADING, EXCAVATING, TERRACING. FILLING AND SIMILIAR WORK WI : L BE REGULATED BY THE REQUIREMENTS PURSUANT TO THE MASON COUNTY GRADING PERMIT STAND/+PWS CHAP ER 14 .44 OF RESOLUTION 141 --96 �,�` X 6 ) ALI. SURFACE WA'f ER AND POTENTIAL. RUNOFF WILL BE CONTROLLED ON SITE AND SHALL. NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVFRTINip/DITCHING SYSTEM OR ROAD WAY 6) All fills shall be compacted to a minimum of 90 peroent of maximum density . X CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by. date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I v PERMIT NO.: GRD g MASON COUNTY i LAND MODIFICATION PERMIT APPLICATION 61 I�3 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORM T QN CONTRACTOR INFORMATION Ownerik . E WV Contractor Name Mailina Address k Mailing Address City 7AiqU State WA Zip Code City State Zip Code Phone ther Ph.�3bo )Z b Ph.0 Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration I I I ENGINEER INFORMATION Name Phone Address State Zip Code PARCEL INFORM TION-12 digit Tax Parcel No. 12.14 7 1Y 0 / Fire District .— Legal Description T Site Address(include streetme and city Directions to site: W aTO 9OW C14FT0PV4N,1W Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) NO Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Soft compressible soils TYPE OF JOB - Excavation Filling Grading Total size of area 2- C Size of area to be c eared on slopes over 1 % Estimated amount of cubic yards Describe Work FA t_ N,t7 IGrW t . u � /S C.Ua jrV6 latkop. LAND MODIFICATION INFORMATION f• YES NO Will fill be brought on site? If yes, source 44FEWAY S7-0/Q-fr., '1 E%,44A&5S R9N p Will excavated materials be taken off site? If yes, destination 13 13 Does fill contain potential hazardous materials? Has a soils report been completed on site? If yes, include copy. O Will proposal result in redirection of any surface water runoff onto adjacent properties? 13 17 Will proposed work alter where storm water or ground water enters or exits the site? 13 I Will quality, quantity or velocity of storm/ground water be altered? 13 IN Will runoff be collected/controlled by interceptors, curtain drains or other collection devices? 13 D' Will the land be replanted upon completion? Q 0 Will the proposal result in slopes steeper than those currently on site? 13 13 Is the site within 200' of a designated shoreline? 13 EN NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. X y0 _ to X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. S DEPARTMENTAL REVIEW OVED DENIED CONDITION CODES Building Department lit, l Planning Department Public Works Department Fire Marshal FEES ��U Grading Permit Fee �� Site Inspection Plan Review Fee y Other /? L Ct Public Works Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES r n: . MASON COUNTY PROJECT SITE INFORMATION Case No. Name �d.� � �" / LE PARCEL NUMBER1232-9W?40200 Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- I I E-adjacent property line I 40 I I I I I I I I I I I I I I I I I tt I I I I I I I I � J 1i --! ( _-p I ! li{tI' 4i0 i l �T�C ;(• � � �i", adjacent property line-> ' Fad'acent property line ail cG�}p Ff i. SAMPLE SITE PLAN adja�nt property lined 3io� _ _ _ Fadjacent property line .gEASo.jAL. � _�'4T7L__r-304) C � I HOM tEEK II CHa ot j }'iopca 0 wa6nEJ III oI c f— 60' VACANT aw5 LA i I I Q p' I �\ I I � I I \ i /DO" I I L_.e.LL I I I I I I R I \ adjacent property lined ; !A,. \; Fadjacent property line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d,s+ter« to SA ruLtLa.Y� dc5't'ar.Ge. *e Slopa {o¢ `- 4 2' `- - IPA! Signature Date B Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: SEP95-0169 F & K INV ............... 02/23/99 1) "CUSTOM CONDITION" -- This site is located in a landslide hazard area per Mason County Resource Critical Area Ordinance #77-93. Per this ordiance a Geotechinal Report is required for this site. This Geotech report will need to be submitted prior any logging activities. 2) Pump out Plan -- The applicant/agent will create a pump out plan. This plan will set up the tank(s) of the septic system(s) will be pumped and inspected every 3 years. The report generated from the pump out and inspection will be submitted to and acted upon by Mason County Heath Services, Environmental Health Department. If the segregation becomes part of an established district or is hooked up to a Wastewater Treatment Facility, the above statement will be voided. X 3) Drainage/Stormwater Plan -- A drainage/siltation control/stormwater plan will be created and implemented prior to development, clearing, grading, or construction of any portion of the proposed segregation. x----------------------- 4) Sewage Disposal Facilities -- Sewage disposal facilities, as well as water supply facilities, should be provided in accordance with appropriate state and local health regulations. Storm drainage facilities should be separated, not combined with sewage disposal systems. X 5) Sewage Disposal Facilities -- Sewage disposal facilities, as well as water supply facilities, should be provided in accordance with appropriate state and local health regulations. Storm drainage facilities should be separated, not combined with sewage disposal systems. X 6) Storm Drainage Facilities-Septic -- Storm drainage facilities shall be separate from sewage disposal transport facilities and include provisions to prevent uncontrolled and untreated direct entry of surface water runoff into receiving waters. Storm drainage facilities shall include, but not be restricted to vegetated swales, retention ponds and artificial and natural wetlands PROVIDED no adverse impacts to the receiving wetlands would occur and shall be subject to Mason County approval. X 7) Storm Drainage Facilities -- Storm drainage facilities are required by the County for residential development projects. Facilities shall include, but not be restricted to vegetated swales, retention ponds and use of artificial or natural wetlands PROVIDED no adverse impacts to the receiving wetlands would occur and are subject to Mason County approval. X I I I I � I I \ i I I I i -I I I ,p adjacent property lined <—ad'a( TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible inc degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE di s+�r+ca. t d i Mi t'a r.C e. 51opa. - na sue' distar,ca- AL Signature Dat I I I i I I i I I E I 1 f I I � I ' I 40 • I' l3 �,af�' ti 1 � � I acent property line-3, I E-adjacent property LE SITE PLAN a t property line 3zo , I acentproperty ksmo 30 ctea:K y I G r1rdr- Qc�AJ I I. 1 Pr2.0 PmO-D I r4— 6 01 I /So ,Gw,T � CIA ctAG- S 3 / S \ I / "momD i I o' —� Printed by Tami Griffey 3/12/1999 1 :29pm --------------------------------------- From: Richard Geiger To: Tami Griffey Subject: Message confirmation --------------------------------------- ===CONFIRMATION=======3/12/99==1:27pm== Read by: Richard Geiger Opened: 3/12/99 1:27pm Form: NOTE Sent: 3/12/1999 12:56 PM Text: Third request for fees on Governale grading permit. Its ready for issue. Hope to hear from you soon. v t — err y = t `w r Page : 1 mod.►� cr p - a s 3 . • ,.,. , „ � �+��, ram: .' _•, , . ..mot• r .; y�� 'fit'--- ,,,�.`5►'� � •.. � -� •'lt 10 • r t.� �.. • f1� .`, � ��f :'. _ .j�.. ~ rim.�� f •- p .=i �� :, tom, ; a,le li ♦ r. � '1 t �?:,iyp; 'w + � . ��::�1`�•��. � it � "'�, •fie;. 9 AV ilk r •11��•., ,F7P lu r'. r4. - - •xis- -' _ w r 1 y �r CERTIFIED MAIL MASON COUNTV DEPARTMENT OF RECEIVED �s f� ® P.o.Box 27s o MA�y _ U.S.POSIAGE Shelton,WA98584 OCT 11 2001 OCT-2'Of ;, .• 4 7000 1530 0004 7728 9610 MCCD - PLANNIN& F•_.: a`" 21 11 10{02�fi01 / ns '�►►ip Ord �U S 2 G o ve r nci �-S SS OM° RE TURNRECEIP�TREQUES'1EP 1Q -7 SECTIONSENDER: COMPLETE THIS ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ❑Addressee D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No �oS.e 60�e rrA Ie ' 3. Service Type 302 9 _ _ g o a o a Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) _7000 / s3a o o by -7 -2aiRl 9(ol 0 PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 MASON COUNT DEPARTMENT OF COMMUNITY DEVELOPMENT Planning Mason County Bldg.1 411 N.5th P.O.Box 279 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 Rose Governale 411 NE Tahuya River Dr. Tahuya, WA 98588 RE: Grade/fill activity on tax parcel number 12329-41-90200 Dear Ms. Governale: This letter follows a site visit that I conducted September 25, 2001, in response to a complaint regarding the grade/fill activity on the above referenced tax parcel number (131 NE Roy Boad Rd. Belfair). I understand that the grade/fill activity is addressed by a grading permit issued March 30, 1999 (GRD99-00003). The purpose of this letter is to inquire as to the status of the project. During the site visit, I noted that the silt fencing (erosion control) is not properly installed. The lower portion of the fencing is not in contact with the ground. I also noted that the site does not appear to be revegetated. Revegetation and erosion control measures are two conditions associated with permit number GRD99-00003. "Temporary erosion control measures (silt fencing and straw) must be implemented to prevent water quality degradation of adjacent waters or wetlands. Replanting of exposed area with grass and ground cover plants shall be done when final grade is completed." Please respond to this letter in writing or via phone by October 22, 2001. Advise me of the status of the project and when revegetation efforts will take place. Also, please advise me of a date by which the silt fencing will be reinstalled properly. Your anticipated cooperation is appreciated. Sincerely, Kristin French Code Enforcement cc: Tami Griffey I I I I � - � I I TO e 60 232�i L ; oadued ,L3 u( coo 6ri2-D o a, (DomesticU.S. Postal Service CERTIFIED MAIL RECEIPT Oniv, No Insurance Coverage Provided) 0 Er CO Postage $ m .7 rL Certified Fee Poswr rk Return Receipt Fee Hera � (Endorsement Required) � U. t3 Restricted Delivery Fee A 0 eP O (Endorsement Required) �a70 y 0 Total Postage&Fees $3 A u-I Sent To t�j 2 30.1 - r� /2- ,e Go uer h0. �e. ---------------------------------------------------------1 - V-BOA----- Street,Apt.No.;or PO Box No. o --------- --------------------------- --- - ------------ City,State, IP+4 �� a w/-i PS Form 3800,May 2000 See Reverse for Instructions Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE I°y PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may he requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,May 2000(Reverse) 102595-00-M-2004